The nurse knows that which indwelling catheter procedure places the patient at greatest risk of acquiring a urinary tract infection?
Kinking the catheter tubing to obtain a urine specimen
Emptying the drainage bag every 8 hours or when half full
Failing to secure the catheter tubing to the patient's thigh
Placing the drainage bag on the side rail of the patient's bed
The Correct Answer is D
a) Kinking the catheter tubing to obtain a urine specimen: Kinking the catheter tubing can cause backflow of urine, increasing the risk of infection, but it is not as significant a risk factor as improper drainage bag positioning.
b) Emptying the drainage bag every 8 hours or when half full: Properly emptying the drainage bag regularly reduces the risk of infection, as it prevents overfilling and backflow. This practice is usually part of proper care.
c) Failing to secure the catheter tubing to the patient's thigh: Securing the tubing to the thigh is important for preventing pulling or tension, but it’s not as significant in terms of infection risk as the positioning of the drainage bag.
d) Placing the drainage bag on the side rail of the patient's bed: This significantly increases the risk of urinary tract infections (UTIs) as it can cause the urine to flow back into the bladder, a condition called "reflux." The drainage bag should always be kept below the level of the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Hemoglobin (Hgb) 11.3 g/dL: While a hemoglobin level of 11.3 g/dL is slightly below normal, it is not a definitive indicator of malnutrition. It may be related to anemia but not necessarily malnutrition.
b) Pre-albumin 10 mg/dL: Pre-albumin is a protein that reflects short-term nutritional status. A value of 10 mg/dL is below the normal range and suggests malnutrition, as pre-albumin levels decrease in states of inadequate protein intake.
c) Creatinine 1.9 mg/dL: Elevated creatinine levels typically indicate kidney dysfunction, not malnutrition. It is a marker of kidney health, not nutritional status.
d) Hematocrit (Hct) 56%: A hematocrit level of 56% is elevated, which could indicate dehydration, polycythemia, or other conditions, but it is not a direct indicator of malnutrition.
Correct Answer is A
Explanation
a) Fecal Impaction: Seepage or leaking of liquid stool often occurs when a patient has a fecal impaction. The liquid stool may leak around the solid mass of stool that is impacted in the colon.
b) Urinary Incontinence: Urinary incontinence refers to the involuntary loss of urine, not stool.
c) Bowel and Bladder training program: While bowel and bladder training programs may be helpful for managing incontinence, they are not the immediate solution for fecal impaction.
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